Materials and methods Study design This study was an organizational assessment of an integrated system of care (GIR) for patients with SBI and was designed as a prospective, randomised trial. An individual record was created for each patient with SBI; this record contained the patient's personal data, information prior to admission to intensive care or neurosurgery, clinical characteristics, the presence of devices, complications, time of hospitalisation in an Intensive Care Unit, and cognitive conditions. Once it had been determined that the study entry criteria were met, the patients were entered in the register and prospectively in parallel-group randomised to two different management strategies.